Individual provider Active NPI

Laurel Sockrider

  • Family Nurse Practitioner
  • Surprise, AZ
National Provider Identifier
1881132314
Registry record updated Feb 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP9879 Issued in AZ
Practice address
12361 W Bola Dr
Suite 109
Surprise, AZ 85378-9021
Phone
(623) 227-1000
NPI assigned
Feb 4, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP9879 AZ Primary

Addresses

Primary practice location

12361 W Bola Dr
Suite 109
Surprise, AZ 85378-9021

Mailing address

12361 W Bola Dr
Suite 109
Surprise, AZ 85378-9021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171218001400 AZ Practitioner - Nurse Practitioner 0547547861 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP9879AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amardeep S Majhail MD PC CurrentSince Jan 1, 2024 Accepting new patients

Locations

14674 W Mountain View Blvd
Ste 100
Surprise, AZ 85374
Phone (623) 544-6860

Interoperability endpoints

  • Direct secure messaging: laurel.sockrider@561886471127044.direct.elationemr.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCFDDD

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1486166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486166400000",
    "number": "1881132314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR",
            "address_2": "SUITE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR",
            "address_2": "SUITE 109",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "623-227-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOCKRIDER",
        "first_name": "LAUREL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-04",
        "last_updated": "2017-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP9879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Surprise, AZ

Sources for this page

Verify at the official NPI Registry.